Information ⬇
- Antimicrobial therapy must be bactericidal and prolonged. See Table 80-2 for organism-specific regimens.
- - Blood cultures should be repeated until sterile, and results should be rechecked if there is recrudescent fever and at 4-6 weeks after therapy to document cure.
- - If pts are febrile for 7 days despite antibiotic therapy, an evaluation for paravalvular or extracardiac abscesses should be performed.
- Pts with acute endocarditis require antibiotic treatment as soon as three sets of blood culture samples are obtained, but pts with subacute disease who are clinically stable should have antibiotics withheld until a diagnosis is made.
- Pts treated with vancomycin or an aminoglycoside should have serum drug levels monitored. Tests to detect renal, hepatic, and/or hematologic toxicity should be performed periodically.
Outline ⬆
Section 7. Infectious Diseases
- 78. Infections Acquired in Health Care Facilities
- 79. Infections in the Immunocompromised Host
- 80. Infective Endocarditis
- 81. Intraabdominal Infections
- 82. Infectious Diarrheas
- 83. Sexually Transmitted and Reproductive Tract Infections
- 84. Infections of the Skin, Soft Tissues, Joints, and Bones
- 85. Pneumococcal Infections
- 86. Staphylococcal Infections
- 87. Streptococcal/Enterococcal Infections, Diphtheria, and Infections Caused by Other Corynebacteria and Related Species
- 88. Meningococcal and Listerial Infections
- 89. Infections Caused by Haemophilus, Bordetella, Moraxella, and HACEK Group Organisms
- 90. Diseases Caused by Gram-Negative Enteric Bacteria and Pseudomonas
- 91. Infections Caused by Miscellaneous Gram-Negative Bacilli
- 92. Anaerobic Infections
- 93. Nocardiosis, Actinomycosis, and Whipple's Disease
- 94. Tuberculosis and Other Mycobacterial Infections
- 95. Lyme Disease and Other Nonsyphilitic Spirochetal Infections
- 96. Rickettsial Diseases
- 97. Mycoplasma Pneumoniae, Legionella Species, and Chlamydia Pneumoniae
- 98. Chlamydia Trachomatis and C. Psittaci
- 99. Herpesvirus Infections
- 100. Cytomegalovirus and Epstein-Barr Virus Infections
- 101. Influenza and Other Viral Respiratory Diseases
- 102. Rubeola, Rubella, Mumps, and Parvovirus Infections
- 103. Enteroviral Infections
- 104. Insect- and Animal-Borne Viral Infections
- 105. HIV Infection and AIDS
- 106. Fungal Infections
- 107. Pneumocystis Infections
- 108. Protozoal Infections
- 109. Helminthic Infections and Ectoparasite Infestations